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Ecchymosis and coldness in peripheral varicose vein patients: observations from Vein-Turkey study

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Date

2020

Author

Ozturk, Selcuk
Akbaba, Kagan Turker
Kilic, Suleyman Sirri
Cicek, Tufan
Peskircioglu, Levent
Tandogan, Izzet
Gurlek, Ahmet
Aydemir, Ozbay
Ileri, Mehmet
Yetkin, Ertan

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Citation

Ozturk, S., Akbaba, K. T., Kilic, S., Cicek, T., Peskircioglu, L., Tandogan, I., ... & Yetkin, E. (2020). Ecchymosis and Coldness in Peripheral Varicose Vein Patients: Observations From VEIN-TURKEY Study. The International Journal of Lower Extremity Wounds, 1534734620917911.

Abstract

The purpose of this subgroup analysis is to investigate and analyze the venous leg symptoms including sense of coldness and sign of ecchymosis in patients with or without peripheral varicose veins (PVVs) from VEIN-TURKEY study population. A total of 600 patients, who were enrolled to VEIN-TURKEY study recently, were included in this subgroup analysis. Patients were examined clinically for the presence and severity of PVV and varicocele. Patients were asked to answer the VEINES-Sym questionnaire consisting of 10 parts and questions about ecchymosis and coldness in their legs. Frequency of symptoms present in the VEINES-Sym instrument, coldness (16.6%, 6.5%, P = .002, respectively), and ecchymosis (16.6%, 2.7%, P < .001, respectively) were significantly higher in patients with PVV compared to patients without PVV. Mean score of each symptom was significantly lower in PVV (+) patients including scores of ecchymosis and coldness. Total VEINES-Sym score was also correlated with the scores of ecchymosis (r = 0.18, P < .001) and coldness (r = 0.35, P < .001). Logistic regression analysis revealed that heavy legs, aching legs, night cramps, and ecchymosis are significantly and independently associated with PVV. In conclusion, sign of ecchymosis and coldness are significantly higher in patients with PVV compared to patients without PVV in a population recruited from the urology clinics. In clinical evaluation, presence or sign of ecchymosis and coldness in legs should be considered to be compatible with PVV in the absence of trauma, hematologic pathologies including antiplatelet treatment, and arterial stenosis or obstruction.

Source

International Journal of Lower Extremity Wounds

Volume

19

Issue

3

URI

https://doi.org/10.1177/1534734620917911
https://hdl.handle.net/20.500.12713/416

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  • Makale Koleksiyonu [318]
  • Makale Koleksiyonu [272]
  • PubMed İndeksli Yayınlar Koleksiyonu [922]
  • Scopus İndeksli Yayınlar Koleksiyonu [1424]
  • WoS İndeksli Yayınlar Koleksiyonu [1485]



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